Treatment of Acute Scaphoid Fracture by Percutaneus Acutrak Screw Insertion.
10.4055/jkoa.2003.38.4.412
- Author:
Jaedo KANG
1
;
Kwangryul KIM
;
Moonsup LIM
;
Donggil HAHM
Author Information
1. Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital, Busan, Korea. jdkangmd@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Acute scaphoid fracture;
Dorsal percutaneous approach;
Acutrak screw fixation
- MeSH:
Follow-Up Studies;
Humans;
Immobilization;
Range of Motion, Articular;
Splints;
Tobacco, Smokeless;
Wrist Joint
- From:The Journal of the Korean Orthopaedic Association
2003;38(4):412-416
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to investigate the efficasy of dorsal percutaneous Acutrak screw fixation for acute stable or unstable scaphoid fractures. MATERIALS AND METHODS: We assessed 7 cases of acute scaphoid fracture from January 2001 to Febrary 2002, 5 cases were of acute stable fracture (Herbert type A2) and 2 cases were of unstable minimal displaced fracture (Herbert type B2). All were treated by dorsal percutaneous Acutrak screw fixation. The postoperative management protocol involved removing the splint at postoperative 1 week, this was followed by active and strengthening exercise. Patients returned to work at a postoperative 2 weeks, and a follow-up study 7cases from 12 to 20 months (average 15.8 months). RESULTS: According to tenderness at the anatomical snuff box, pain during range of motion of the wrist joint and the Maudsley scale, 6cases (Herbert type A2: 5 case, Herbert type B2: 1 case) were excellent and one case (Herbert type B2) was good. CONCLUSION: Dorsal percutaneous Acutrak screw fixation is useful method for acute stable or minimal displaced scaphoid waist fractures, because it reduces complications due to prolonged cast immobilization.
